Product image of Iscodil (Clopidogrel) supplied by GNH India

Iscodil

Active Ingredient:
Clopidogrel
Origin:
EU

Iscodil (Clopidogrel)

Clopidogrel, the active ingredient in Iscodil, is an antiplatelet agent presented as an oral tablet for oral use. It inhibits platelet aggregation to help prevent atherothrombotic events in patients who have experienced myocardial infarction, ischemic stroke, transient ischemic attack, and associated cardiovascular complications under medical supervision.

GNH India supplies Iscodil as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. Our distribution network ensures reliable delivery, regulatory compliance, and quality assurance across multiple regions.

Manufacturer / TM Owner

Lyofin Ltd, Greece

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Indications & Clinical Uses

Clopidogrel is indicated for several atherothrombotic conditions where platelet inhibition reduces clinical events.

  • Recent myocardial infarction: lowers risk of recurrent heart attacks and related vascular events.
  • Ischemic stroke or transient ischemic attack: decreases likelihood of subsequent stroke.
  • Peripheral arterial disease: provides secondary prevention of cardiovascular complications in established disease.

How It Works

  • Clopidogrel is an irreversible antagonist of the platelet P2Y12 ADP receptor. After hepatic conversion to its active metabolite, it binds covalently to the receptor, preventing ADP-mediated activation of the GPIIb/IIIa complex and subsequent platelet aggregation. This blockade persists for the lifespan of the platelet, providing sustained antithrombotic protection. The effect is dose‑independent after standard dosing and does not require routine monitoring.

Side Effects

Clopidogrel may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Headache: mild to moderate headache.
  • Nausea: occasional upset stomach.
  • Diarrhea: loose stools.

Serious or Rare Side Effects

  • Severe bleeding: gastrointestinal or intracranial hemorrhage.
  • Thrombocytopenia: marked reduction in platelet count.
  • Hypersensitivity reactions: including Stevens‑Johnson syndrome.

Precautions & Warnings

Before prescribing Clopidogrel, clinicians should consider several safety measures.

  • Assess bleeding risk: evaluate patient history of hemorrhage before initiating therapy.
  • Review concomitant anticoagulants: avoid combining with other potent antithrombotics unless clinically justified.
  • Monitor liver function: periodic testing recommended in patients with hepatic impairment.
  • Adjust for CYP2C19 polymorphism: consider alternative therapy in poor metabolizers.
  • Store at ambient temperature below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Clopidogrel interacts with several drug classes that may alter its safety or efficacy.

Major Interactions (Avoid)

  • Oral anticoagulants (e.g., warfarin, DOACs): increased risk of major bleeding.
  • NSAIDs or aspirin: additive hemorrhagic effect.
  • Strong CYP2C19 inhibitors (e.g., omeprazole, fluconazole): reduced conversion to active metabolite, diminishing efficacy.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inducers (e.g., rifampin, carbamazepine): may lower plasma levels of clopidogrel.
  • Selective serotonin reuptake inhibitors (e.g., SSRIs): potential increase in bleeding tendency.
  • Glycoprotein IIb/IIIa inhibitors: additive antiplatelet activity.

Frequently Asked Questions

Iscodil contains clopidogrel, an antiplatelet medication prescribed to reduce the risk of atherothrombotic events such as heart attacks, ischemic strokes, and complications in patients with peripheral arterial disease. It works by preventing platelets from clumping together, thereby lowering the chance of clot formation in vulnerable vascular territories.

Clopidogrel is converted in the liver to an active metabolite that irreversibly blocks the platelet P2Y12 ADP receptor. This inhibition stops ADP‑mediated activation of the GPIIb/IIIa complex, preventing platelets from aggregating and forming clots. The effect lasts for the lifespan of each platelet, providing continuous antithrombotic protection.

The appropriate dose of Iscodil is determined by the prescribing healthcare professional based on the patient’s clinical condition, renal and hepatic function, and concomitant therapies. Dosage recommendations are outlined in the product’s prescribing information and should not be altered without medical guidance.

Safety data for clopidogrel during pregnancy and lactation are limited. The medication should only be used if the potential benefit justifies any possible risk to the fetus or infant. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss treatment options with their physician.

To request Iscodil, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, confirming trade or institutional credentials before providing pricing, availability, shipping details, and any necessary import documentation.

Both clopidogrel (Iscodil) and aspirin inhibit platelet aggregation, but they act on different pathways. Aspirin irreversibly blocks cyclooxygenase‑1, reducing thromboxane A2, while clopidogrel targets the P2Y12 ADP receptor. Clopidogrel is often preferred when aspirin alone is insufficient or when patients have aspirin intolerance, offering a more potent antiplatelet effect in many cardiovascular settings.

Iscodil tablets should be stored at ambient temperature below 25 °C, kept in the original packaging, and protected from moisture and direct sunlight. Do not store in a refrigerator or freezer, and keep out of reach of children.

Iscodil is taken orally, usually with or without food, as directed by a healthcare professional. The tablet should be swallowed whole with a glass of water and not crushed, chewed, or split unless specifically advised by the prescriber.

The most critical safety concerns with Iscodil involve bleeding complications, including gastrointestinal hemorrhage and intracranial bleeding. Patients should also be alert for signs of severe skin reactions, unexplained bruising, or a sudden drop in platelet count, and report any such symptoms promptly to their physician.

Iscodil is contraindicated in individuals with active pathological bleeding, known hypersensitivity to clopidogrel or any component of the formulation, and in patients who are currently receiving certain strong CYP2C19 inhibitors that markedly reduce its effectiveness. Clinicians should also exercise caution in patients with severe hepatic impairment.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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